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Metastasis to Jaw
OMFP II
| Question | Answer |
|---|---|
| What are the clinical feature of metastasis to the jaws? | Metastasis to the jaw will exhibit a poorly demarcated radiolucency with a moth-eaten border, may show widened PDL. The lesion often perforates the cortex. It is usually near the apex of a tooth and painful. |
| What are the demographics of metastasis to the jaws? | Metastasis to the jaw has not gender predilection. It is more common in 45-65-year age range, posterior mandible, apical region and tongue. Other bones affected: vertebrae, ribs, pelvis, skull. It accounts for 3% of all oral cancers. |
| What type of lesion would be present in metastasis to the jaws? | There can be multiple lesions in many different forms. They can grow out of an extraction socket. Lesions in the jaw are often the first sign of malignancy in a patient. |
| What are the histologic features of metastasis to the jaws? | The histologic presentation is variable and should be compared with the primary tumor. |
| What are some of the differential diagnoses of metastasis to the jaw? | Odontogenic cysts Benign and malignant odontogenic tumors Salivary gland neoplasms |
| What is the appropriate treatment for metastasis to the jaw? | The goal of treatment is to find the primary tumor and treat it at the source. Radical surgical excision and chemotherapy are employed. If there are multiple metastases the jaw lesion may not be treated. |
Created by:
emma.carpenter
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